Take your understanding to a whole new level with Pageburst digital books on VitalSource! Easy-to-use, interactive features let you make highlights, share notes, run instant topic searches, and so much more. Best of all, with Pageburst, you get flexible online, offline, and mobile access to all your digital books. Designed for advanced practice nurses and advanced practice nursing students, as well as Physician's Assistant students and practitioners, Advanced Health Assessment & Clinical Diagnosis in Primary Care, 4th Edition , is a practical resource that takes you to the "next step" of health assessment, beyond basic history and physical examination and through the diagnostic reasoning process. Accessible and concise, it approaches physical examination by focusing on a specific chief complaint rather than a diagnosis of a disease entity. Each chapter is organized into four major areas: Focused History; Focused Physical Examination; Laboratory and Diagnostic Studies; and Differential Diagnosis. Those who master the diagnostic reasoning process in this text will be able to accurately diagnose the majority of conditions they will see in clinical practice. Easy-to-follow format with consistent organization improves your ability to understand and accurately perform the different elements of the diagnostic reasoning process: Focused History sections walk you through the thinking process involved in obtaining a pertinent, relevant, problem-specific history that will assist in differential diagnosis. Key Questions highlight what questions to ask the patient, followed by an explanation of what the patient's responses might signify, to guide you toward an accurate assessment and precise diagnosis. Focused Physical Examination sections explain how to conduct more advanced diagnostic techniques and offer interpretations of the findings. Laboratory and Diagnostic Studies sections give a brief outline of what types of laboratory or diagnostic studies would be appropriate for the chief complaint or suspected diagnosis. Differential Diagnosis sections contain the most common differential diagnoses for each chief complaint and summarize the history and physical examination findings, along with the laboratory and diagnostic studies indicated. Differential Diagnosis tables offer an at-a-glance summary of possible diagnoses. Reordered table of contents, organized alphabetically by patient problem rather than by body system, simplifies and accelerates information retrieval. A list of chapters by body system is also included for reference. Three new chapters : Chapter 23: Palpitations Chapter 36:Weight Loss/Gain (Unintentional) Chapter 38: The Abdominal X-ray Additional Evidence-Based Practice boxes provide additional research-based tips on conducting the most effective exams for more accurate diagnoses.

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Take the next step' in health assessment! Advanced Health Assessment and Clinical Diagnosis in Primary Care, 5th Edition goes beyond basic history and physical examination to help you master the diagnostic reasoning process. You'll develop this key skill by following assessment guidelines that focus on a specific complaint rather than beginning with a previously established diagnosis or disease entity. Written by advanced practice nursing experts Joyce Dains, Linda Baumann, and Pamela Scheibel, this edition includes new chapters on evidence-based preventive health screening and on heartburn and indigestion, along with a new full-color design. Master the differential diagnosis process outlined in this book, and you'll be able to accurately diagnose the majority of patients seen in today's primary care settings. A clear, consistent diagnostic reasoning process takes you to the next step of health assessment beyond basic history and physical examination to diagnostic reasoning. Diagnostic Reasoning: Focused History sections use self-questions' to walk you through the thinking process involved in obtaining a pertinent, relevant, problem-specific history that will assist in differential diagnosis. Diagnostic Reasoning: Focused Physical Examination sections explain how to perform more advanced diagnostic techniques and interpret the findings. Key Questions guide you through assessment and toward an accurate diagnosis by listing questions to ask the patient, followed by explanations of what the patient's responses might signify. Laboratory and Diagnostic Studies sections outline the types of studies that might be appropriate based on the focused history and focused physical examination. Differential Diagnosis sections offer the most common diagnoses for each patient problem and summarize the history and physical examination findings, along with recommended laboratory and diagnostic studies. Differential Diagnosis tables provide a quick-reference summary of possible diagnoses for each patient problem. Evidence-Based Practice boxes more than 30 are NEW summarize the scientific evidence related to the diagnosis of patient problems. Alphabetical Table of Contents provides a convenient listing of common health problems.

Good US Soft Cover Edition. Book has some light wear on cover, corners, or spine. May have extremely minor highlighting or underlining on a page or two. Code not included. Otherwise pages are in good readable condition!

This manual-style reference presents the clinical skills needed to assess health and provide care to women of all of ages, with systematic reviews of all aspects of female mental and bodily health. The authors and contributors comprehensively cover female reproduction, anatomy, and physiology as examined at the cellular level. Also discussed are developmental, psychological, and sociocultural dimensions of women. Offering an integrated approach to women's health care, the authors delineate the roles and functions of various health care providers serving female patients, including physician's assistants, nurse midwives, and nurse practitioners. The chapters present assessment strategies that are on the leading edge of the expanded role of the advanced practice clinician. The chapter authors provide full, in-depth discussions of each assessment skill and technique as well as an understanding of the rationale behind each assessment. Key Topics Discussed: Health assessment: physical examinations, assessment of pregnant women, and assessment and clinical evaluation of obesity in women Female Reproduction: anatomy, physiology, and the reproductive cycle Contraceptive devices: the diaphragm, intrauterine contraception, and contraceptive implants Assessment of women at risk: domestic violence, STIs, and sexual assault Assessment of the infertile woman: initial evaluations, donor insemination, and more

This is the only truly comprehensive advanced text for the assessment of women's health, written for such primary care providers as nurse practitioners, physician assistants, and certified nurses;midwives. It encompasses both foundational and cutting-edge physical and psychosocial information in a clear and concise outline format, and is unique in its presentation of more advanced techniques and procedures not addressed in standard graduate assessment texts. Keeping pace with the expanding scope of advanced practice, the third edition provides several completely new chapters authored by renowned specialists, expanded chapters, and updates. This includes new information on contraception, domestic violence, health history of special populations, lesbian health, evaluation of the pelvic floor, aging and menopause, bleeding irregularities, infertility, skin aesthetics, pelvic pain, and health guidelines. With an integrated approach to treatment, the authors delineate the expanded roles of advanced health care providers, including guidance for situations when a practitioner must decide whether to act independently, co-manage, consult, or refer. The authors provide in-depth descriptions enhanced by plentiful tables and figures of each assessment skill and technique along with its underlying rationale. Basic techniques are augmented by the inclusion of possible alterations for a particular procedure. On a continuum from simple to complex, the text is divided into 11 units that cover basic women's health assessment down to the cellular level, health history, prenatal assessment, investigative procedures including sonohysteroscopy and simple cystometrogram, and several chapters on specific women's health concerns. A special chapter on urinary incontinence includes diagnosis of bladder dysfunction. Sample assessment forms are integrated throughout, as are comprehensive lists of equipment required for each procedure along with information on patient preparation and follow-up. New to the Third Edition: Updated assessment guidelines New chapters on lesbian health, dysfunctional uterine bleeding, polycystic ovarian syndrome, skin aesthetics, and pelvic pain Information on new contraception devices New information on domestic violence, health history of special populations, and vaginal microscopy Cervical cancer screening, menopause assessment, and osteoporosis screening Expanded information on evaluation of the pelvic floor Expanded information on aging and menopause Updates on infertility and information on BRCA gene testing Key Features: Provides detailed descriptions of advanced assessment techniques enhanced with plentiful tables and figures Presents the rationale for all assessments and procedures Delineates clinical procedures on the leading edge of the expanded role of the advanced practice clinician Includes unique chapters about selection and insertion of the vaginal pessary, intrauterine insemination procedure, and dono

Written for nurse practitioners, physician assistants, nurse midwives, and other primary care providers, this new edition of Advanced Health Assessment of Women , continues to deliver the clinical skills required to care for the unique healthcare needs of women. This text delves into the growing role of the advanced practice clinician, establishing a foundation for and an understanding of the rationale behind the techniques and procedures described. Master's level and doctoral level curricula provide basic content for the advanced practice clinician but may not provide sufficient education and training regarding advanced women's health skills and procedures. This practical manual is designed to fill that gap, linking theory to clinical practice using critical thinking. Using a clear and concise outline format, Advanced Health Assessment of Women avoids unnecessary jargon and cuts straight to the clinical skills, techniques, and procedures the advanced practice provider needs to know. Content progresses from simple to complex, covering basic assessment and physiology, health history, physical examination, and specific investigative procedures. Each technique and procedure outlined contains detailed descriptions, strategies for patient preparation, and recommended follow up, accompanied by a comprehensive list of equipment. In this new edition, all content has been reviewed and expanded to reflect the most updated evidence-based clinical practice guidelines. Key Features: Clinical procedures that are on the leading edge in the expanded role of the advanced practice clinician Detailed descriptions of advanced assessment techniques with plentiful tables and figures Special chapter on urinary incontinence includes diagnosis of bladder dysfunction Appendices contain patient information handouts and practice forms that can be adapted for practice Unique chapter: selection and insertion of the vaginal pessary New to this edition: NEW Chapter: Assessment of Transgender Persons Revisions of clinical guidelines and procedures for menopause, cervical cancer screening, and osteoporosis chapters Treatment summary sections for selected chapters such as PCOS, AUB, vulvodynia, obesity, and urinary incontinence

This book surveys clinical uncertainty in primary care and primary care education, offering definitions, research on effects, methods for dealing with uncertainty and details of the practice inquiry process as it is applied in a variety of clinical settings.

Clinical audit is essential for demonstrating performance for the quality and outcomes framework of the GP Contract. This completely up to date manual uses a practical how-to-do-it' approach, linked directly to the GP Contract, to make the undertaking of clinical audit a positive and rewarding exercise for both patient care and practice finance. By using examples of clinical audit from around twenty different clinical fields, Clinical Audit in Primary Care provides tips and advice that can be integrated into everyday practice. The recommended process will enable managers, doctors, nurses and clinical staff to collect the data painlessly and to draw meaningful results from it. Its principles will also provide practical guidance to pharmacists and others in the multidisciplinary team involved in clinical audit.

Patient-Centered Care Series Series Editors: Moira Stewart Judith Belle Brown and Thomas R Freeman Primary care clinicians are often unfamiliar with new and effective methods for detecting substance abuse problems in their earliest stages and the majority of patients with substance abuse problems remain undiagnosed. Substance Abuse is written by primary care clinicians and focused to meet the needs of primary care providers demonstrating how the patient-centered clinical method can assist clinicians in learning how to diagnose this complex psychosocial disorder. This book describes how to use state-of-the-art screening techniques and how to understand and motivate patients to decrease or eliminate harmful use of alcohol and drugs. It presents the latest scientific findings and gives examples of using a patient-centered approach as well as describing specific communication skills with samples of dialogue illustrating their use in helping substance-abusing patients. This is essential reading for all family doctors paediatricians gynaecologists psychiatrists nurses social workers psychologists and all clinicians whose practices include substance abusing patients. It will also appeal to counsellors education personnel and all professionals working with substance abusing individuals. For more information on other titles in this series please click here

Examines how evidence-based medicine can be applied in general practice, and how its benefits can be realized in the form of effective treatments. It argues for rational rationing, using clinical effectiveness to exclude ineffective measures.

In this issue of Clinics in Sports Medicine, guest editors Dilaawar Mistry and John MacKnight have developed a team of experts to review updates and advances in Primary Care Sports Medicine, focusing on those areas that are recently and/or rapidly changing in the sports medicine world. Topics in this issue include common infectious conditions, pulmonary disorders, cardiac screening pros and cons, pharmacy, neuropsychiatric considerations, recent advances in the management of eating disorders and female athlete triad, iron and nutritional issues, sickle cell, the international athlete, and Attention Deficit Disorder in athletes.

Complementary and alternative medicine encompasses a wide range of modalities, including acupuncture, herbs and supplements, naturopathy, and body and mind therapies. The use of these healing methods is increasing rapidly, and more and more patients are approaching primary care physicians with questions about them. The purpose of this issue is to help doctors understand the evidence supporting and refuting complementary and alternative medicine techniques so they can provide patients with answers. This is the second of a two-part series, and it focuses on application of complementary and alternative medicine techniques to disease states and body systems.

This issue of Primary Care: Clinics in Office Practice, devoted to Obesity Management, is guest edited by Dr. Mark Stephens of the Uniformed Services University of the Health Sciences in Bethesda, Maryland. Articles in this important issue include: Obesity: What Do the Statistics Say?; Economic Impact of Obesity; The Future of Pediatric Obesity; Obesity Prevention and Screening; Behavior Modification in Obesity Management; Nutritional Therapy; Physical Activity: Cornerstone or Roadblock?; Pharmacologic Therapy for Obesity; Surgical Approaches to Obesity; Multidisciplinary Teams and Obesity: Role of the Modern Patient Centered Medical Home (PCMH); Healthcare Systems and National Policy: Role of Leadership in the Obesity Crisis; and Special Populations in Obesity Management.